Nathaniel Michael May, DPT

Individual provider Active NPI Physical Therapist · Mesilla, NM

NPI 1346854700 · NPPES record last updated Jun 6, 2024

Key facts

NPI
1346854700
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT6075 (NM)
Practice address
2489 Calle Principal
Mesilla, NM 88046
Phone
(575) 339-3377
NPI assigned
Sep 3, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT6075NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Physical Therapy, LLC Current
since Jun 30, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6075 NM Yes

Addresses

Primary practice location

2489 Calle Principal
Mesilla, NM 88046

Mailing address

4545 Mesa Monte Dr
Las Cruces, NM 88011-6042
Phone (575) 339-3377

Other providers in Mesilla, NM

All providers in Mesilla, NM · Physical Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.